Provider Demographics
NPI:1780814533
Name:DEHN, DONNA FRANCES (LPC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:FRANCES
Last Name:DEHN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50831 REDWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:NEW BALTIMORE
Mailing Address - State:MI
Mailing Address - Zip Code:48047
Mailing Address - Country:US
Mailing Address - Phone:586-770-1621
Mailing Address - Fax:586-469-6637
Practice Address - Street 1:31205 23 MILE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047
Practice Address - Country:US
Practice Address - Phone:586-213-1850
Practice Address - Fax:586-469-6637
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010486101YM0800X
MI1780814533101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health